Venous Sinus Stenting for Pulsatile Tinnitus: A Systematic Review and Meta-Analysis.
Sevda Alipour Khabir, Julien Ognard, Gerard El Hajj et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the efficacy of venous sinus stenting (VSS) for treating pulsatile tinnitus (PT) in 850 patients, including those with idiopathic intracranial hypertension (IIH). The study found a pooled rate of overall PT improvement of 89.8% and complete resolution in 87.1%. Recurrence was noted in 10.9% of cases.
Key findings
- Pooled rate of overall PT improvement was 89.8% (95% CI, 85.5-92.9).
- Complete resolution of PT occurred in 87.1% (95% CI, 82.5-90.6).
- Recurrence rate at last follow-up was 10.9% (95% CI, 8.3-14.2).
- Recurrence was higher in IIH (12.0%) compared to isolated PT (5.7%).
Why it matters
The findings highlight the effectiveness of VSS in managing pulsatile tinnitus, particularly in patients with venous sinus stenosis. Understanding the outcomes can guide clinicians in treatment decisions and patient counseling regarding expectations and potential recurrence.